Individual provider Active NPI

Travis Woodrow Livingston, DO

  • Family Medicine Physician
  • Hampton, VA
National Provider Identifier
1437710480
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102207503 Issued in VA
Practice address
4001 Coliseum Dr Ste 300
Hampton, VA 23666-6257
Phone
(757) 827-2025
Fax
(757) 275-9802
NPI assigned
Jun 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102207503 VA Primary
Family Medicine Physician 207Q00000X BP10066732 TX

Addresses

Primary practice location

4001 Coliseum Dr Ste 300
Hampton, VA 23666-6257

Mailing address

301 University Blvd
Galveston, TX 77555-1395
Phone (281) 614-1256

Other practice location 1

301 University Blvd
Galveston, TX 77555-1395
Phone (281) 614-1256

Other names 1

  • Travis Woodrow Livingston Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221027000376 VA Practitioner - Family Practice 1153657176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

4001 Coliseum Dr
Suite 300
Hampton, VA 23666-6257
Phone (757) 827-2025

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
BP10066732TXMDFamily Medicine Physician
0102207503VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michumi PLLC CurrentSince Oct 1, 2022 Accepting new patients
Sentara Medical Group Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Peninsula Radiological Associates Limited Past Accepting new patients

Locations

6567 George Washington Memorial Hwy
Gloucester, VA 23061
Phone (804) 824-9962

3321 W Mercury Blvd
Hampton, VA 23666
Phone (757) 224-0056

4001 Coliseum Dr
Ste 300
Hampton, VA 23666
Phone (757) 827-2025

12997 Warwick Blvd
Newport News, VA 23602
Phone (757) 369-3357

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

120 Monticello Ave
Williamsburg, VA 23185
Phone (757) 564-3627

4740 George Washington Mem Hwy
Ste A
Yorktown, VA 23692
Phone (757) 890-6339

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1437710480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551395",
            "telephone_number": "281-614-1256",
            "fax_number": "281-614-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 COLISEUM DR STE 300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666257",
            "telephone_number": "757-827-2025",
            "fax_number": "757-275-9802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775551395",
            "country_code": "US",
            "telephone_number": "281-614-1256",
            "fax_number": "281-614-1587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "TRAVIS",
        "middle_name": "WOODROW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102207503",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10066732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRAVIS",
            "last_name": "LIVINGSTON",
            "middle_name": "WOODROW",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.